Provider Demographics
NPI:1639131618
Name:COSDEN, CRAIG (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:
Last Name:COSDEN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 N BETHLEHEM PIKE APT 10B
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-2514
Mailing Address - Country:US
Mailing Address - Phone:215-450-3978
Mailing Address - Fax:
Practice Address - Street 1:501 N BETHLEHEM PIKE APT 10B
Practice Address - Street 2:
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-2514
Practice Address - Country:US
Practice Address - Phone:215-450-3978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003269L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical